MELISSA DOUGHERTY LCSW
NPI 1790446755
Social Worker - Clinical in Taghkanic, NY

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
87 CRARYVILLE RD, TAGHKANIC, NY 12521(650) 906-1410 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Jan 3, 2022 (2 updates tracked since 2022).

About Melissa Dougherty Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA DOUGHERTY LCSW (NPI 1790446755) is an individual clinical provider in Taghkanic, New York, licensed in New York (114652-01) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790446755
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA DOUGHERTYCredential: LCSW
Location Address87 CRARYVILLE RDTaghkanic, NY 12521-5556
Mailing Address10 Montague TerBrooklyn, NY 11201-4117
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 3, 2022
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1790446755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 114652-01
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
87 CRARYVILLE RD, Taghkanic, NY 12521

Other Identifiers 1

Other101420-01NY · State

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melissa Dougherty Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355834805
PECOS Enrollment IDI20251203001132
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Dougherty's NPI number?

The NPI number for Melissa Dougherty is 1790446755. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Melissa Dougherty located?

Melissa Dougherty practices at 87 Craryville Rd, Taghkanic, NY 12521. The listed phone number is (650) 906-1410.

What is Melissa Dougherty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Dougherty enrolled in Medicare?

Yes. Melissa Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Melissa Dougherty was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.